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Waste"iSurveyand Ins ection Recity county <br /> p P Mailing Address <br /> i:::: � 1 II , '(�VNO 111/\' Phone Number <br /> -ate of California <br /> I'.".'MB-54(10/03) , /AAR— <br /> ,ART D -Notes �\ l 5 Page—of� <br /> File Number: <br /> Inspection <br /> D . <br /> 0" <br /> Busine /F cility Nage GPS Coor inates: <br /> c <br /> ftp, <br /> Follow-up: <br /> F] Letter of Violation F] Violation re-inspection ❑ Refer to CIWMB Date: <br /> Date Mailed: Date: <br /> ❑ Other Referrals <br /> ❑ If this box checked NFA required. ❑ No tires, remove. ❑ Out of business, remove. <br /> Inspector's Signat r — Phone: LL's <br /> opy: Yellow Copy: Operator Blue Copy: LEA <br />